English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

A 26-year-old woman, 21.6 weeks gestation, was diagnosed with hyperemesis gravidarum a month earlier. She continued with vomiting and started with weakness in extremities, unsteadiness and slurred speech. She was hospitalized, had hypokalemia (2 mEq/L), received intravenous potassium phosphate replacement, and was discharged. One week later, she started with dizziness and confusion. In the disease course, she received medical attention focused on the apparent weakness and gastrointestinal alterations. Three weeks later, the patient started with inattention, and she came to our institution. For this time, she had developed nystagmus, inability to complete eye movements, confabulation and confusion. The diagnosis then was Wernicke-Korsakoff encephalopathy, a neurological complication of thiamine deficiency. MRI was the primary tool to confirm the diagnosis showing hyperintensity in the paramedian thalamic region, periaqueductal grey matter and mammillary bodies. She was discharged after treatment in better condition but still with cognitive and coordination problems. Management should begin as soon as possible with thiamine substitution; the delay will cause more important neurological sequelae and increase mortality up to 10 to 20%.

Young pregnant woman with hyperemesis gravidarum and cognitive alterations